Date: ________ Start: _______ End: _______ Position Assigned to: _______________ Initial: ______
Position Reports to: Service Branch Director Signature: ________________________________
Hospital Command Center (HCC) Location: _____________________ Telephone: ___________________
Fax: ___________________ Other Contact Info: ________________ Radio Title: ___________________
Receive appointment and briefing from the Service Branch Director. Obtain packet containi ng the Unit’s Job Action Sheets.
Read this entire Job Action Sheet and review incident management team chart
(HICS Form 207). Put on position identification.
Notify your usual supervisor of your HICS assignment.
Document all key activities, actions, and decisions in an Operational Log (HICS
Form 214) on a continual basis.
Appoint IT/IS Unit team members and in collaboration with the Service Branch
Director, complete the Branch Assignment List (HICS Form 204).
Brief team members on current situation; outline Unit action plan and designate time for next briefing.
Assign staff to the HCC to provide IT/IS support and maintain system. Respond immediately to requests for assistance from the HCC.
Establish priorities for use of available IT/IS systems, as needed.
Coordinate IT/IS activities with the Operations Section’s IT Unit Leader.
Inventory IT systems, hardware and software; identify potential needs and work with the Supply Unit Leader to obtain equipment and supplies.
Expand IT capability to pre-designated or additional/new areas per the hospitals
Emergency Operations Plan.
Make external requests for assistance in collaboration with the Supply Unit
Leader, as needed; notify the Service Branch Director of all critical issues and requests.
Document all communications (internal and external) on an Incident Message
Form (HICS Form 213). Provide a copy of the Incident Message Form to the
Documentation Unit.
Meet routinely with the Service Branch Director for status reports, and relay important information to Unit members.
Continue to evaluate IT system performance; troubleshoot issues as indicated.
Time Initial
Time Initial

Maintain internal IT/IS and /LAN connectivity, consulting with external experts when needed.
Assess status and integrity of data back-up systems. For restoration activities see Operations Section Business Continuity Branch.
Develop and submit an action plan to the Service Branch Director when requested.
Advise the Service Branch Director immediately of any operational issue you are not able to correct or resolve.
Continue to monitor the IT/IS Unit staff’s ability to meet workload demands, staff health and safety, resource needs, and documentation practices.
Coordinate information technology system support; expand and contract as warranted.
Continue to document actions and decisions on an Operational Log (HICS Form
214) and send to the Service Branch Director at assigned intervals and as needed.
Ensure your physical readiness through proper nutrition, water intake, rest, and stress management techniques.
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Observe all staff and volunteers for signs of stress and inappropriate behavior.
Report concerns to the Employee Health & Well-Being Unit Leader. Provide for staff rest periods and relief.
Upon shift change, brief your replacement on the status of all ongoing operations, issues, and other relevant incident information.
As needs for the IT/IS Unit’s staff decrease, return staff to their usual jobs and combine or deactivate positions in a phased manner.
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Reorder supplies and equipment to restore normal inventory.
Ensure return/retrieval of equipment and supplies and return all assigned incident command equipment.
Debrief staff on lessons learned and procedural/equipment changes needed.
Upon deactivation of your position, ensure all documentation and Operational
Logs (HICS Form 214) are submitted to the Service Branch Director or Logistics
Section Chief, as appropriate.
Upon deactivation of your position, brief the Service Branch Director or Logistics
Section Chief, as appropriate, on current problems, outstanding issues, and follow-up requirements.
Submit comments to the Service Branch Director for discussion and possible inclusion in the after-action report; topics include:

Review of pertinent position descriptions and operational checklists


Recommendations for procedure changes

Section accomplishments and issues
Participate in stress management and after-action debriefings. Participate in other briefings and meetings as required.
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Incident Action Plan

HICS Form 204 – Branch Assignment List

HICS Form 207 – Incident Management Team Chart

HICS Form 213 – Incident Message Form

HICS Form 214 – Operational Log

Hospital emergency operations plan

Hospital organization chart

Hospital telephone directory

Radio/satellite phone

Computer hardware/software inventory
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